Provider Demographics
NPI:1285909085
Name:SCHMIDT, MEGAN M (NP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:M
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:M
Other - Last Name:O'DONNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3200 WESTHILL DR STE 201
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-4707
Mailing Address - Country:US
Mailing Address - Phone:715-847-2382
Mailing Address - Fax:715-847-2381
Practice Address - Street 1:3200 WESTHILL DR STE 201
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4707
Practice Address - Country:US
Practice Address - Phone:715-847-2382
Practice Address - Fax:715-847-2381
Is Sole Proprietor?:No
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI148132363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health